TERRANCE RUDOLPH GRANT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060022

License Status

EXPIRED

Business

First Name

TERRANCE

Middle

RUDOLPH

Last Name

GRANT

Suffix

Business Name

TERRANCE RUDOLPH GRANT MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2016

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

08/16/2016